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Multicomponent Exercise Module: Guidelines for Improving Frailty, Hemodynamic Parameters, and Balance in Older Adults Kusumowardani, Andreany; Kuswardhani, R.A. Tuty; Muliarta, I Made; Sundari, Luh Putu Ratna
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106152

Abstract

Background: One in five Indonesian elderly was frail. Multicomponent exercise is one of the recommended strategies for frailty management in the elderly. However, it would be difficult for the elders to practice the exercise without proper exercise guidelines. In this study, a Multicomponent Exercise Program (MEP) module has been developed and implemented as exercise guidelines, but its effectiveness to improve physical performance of frail elderly has not been tested.Objective: The study aimed to determine the effectiveness of the MEP in the module to improve frailty, hemodynamic parameters, and balance in pre-frail and frail elderly.Methods: Quasi-experimental method was used in the study involving 17 participants (73.47 + 8.43 years). The MEP was conducted 3 times per week for 12 weeks, consisted of flexibility, balance, aerobic, and strength training. Categorical data were analyzed using McNemar's test while analysis of continuous data using paired t-test or Wilcoxon Signed Rank, α = 0.05.Results: The MEP decreased frailty scores, systolic, diastolic blood pressure, and mean arterial pressure (p < 0.000), and improved balance (p = 0.023) in the elderly. Furthermore, the program reduced the frailty status, as evidenced by 41.18% of frail participants becoming pre-frail and 5.88% participants shifting from pre-frail to robustness.Conclusion: The MEP in the module was effective to improve frailty, hemodynamic parameters, and balance in the elderly. However, this needs to be confirmed with larger samples and better research designs.
The Role of Ergonomic Interventions in Enhancing Employee Well-being: A Case Study from the Hospitality Industry Irwanti, Ni Ketut Dewi; Adiatmika, I Putu Gede; Muliarta, I Made; Abdullah, Dahlan
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1725

Abstract

The impact of ergonomic interventions and multitasking on employee well-being, particularly in high-demand hospitality settings, explores how these factors interact with perceived organizational support, an essential mediator that could influence employee satisfaction, health, and productivity. This study aims to discover the relationships among ergonomic interventions, multitasking, perceived organizational support, and employee well-being, focusing on employees of the Puri Saron Hotel Group in Bali. The study employs a quantitative methodology, utilizing SEM SmartPLS 3 software. Data was collected over questionnaires spread to a sample of 100 employees, following Slovin’s formula. The findings contribute to the growing field of workplace ergonomics by demonstrating that both physical ergonomic interventions positively, with the with the highest significant impact, and followed by multitasking for employee well-being, as the study is focused on a single hospitality group, the generalizability of the results may be limited. The enhancing ergonomic conditions and multitasking abilities, coupled with strong organizational support, can significantly improve employee well-being, particularly in industries with high physical and cognitive demands. this offering valuable insights into the role of perceived organizational support in mediating these relationships.
Comparison of lung function and self-efficacy between Balinese dancer and non-dancer students in Denpasar, Bali Tyas, Ni Luh Putu Larasati Prabawaning; Muliarta, I Made; Purnawati, Susy Purnawati; Sundari, Luh Putu Ratna
Public Health and Preventive Medicine Archive Vol. 12 No. 2 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i2.p02

Abstract

Background and purpose: Balinese dance is a well-known traditional activity which has been proven to have physiological and psychological benefits. This study aims to compare the differences in lung function and self-efficacy between Balinese dancer and non-dancer students in Denpasar, Bali. Methods: This was an analytical observational study using a cross-sectional method, which was carried out directly at the Physiology Laboratory of the Faculty of Medicine, Udayana University and Denpasar “X” Institute, from January to September 2023. Participants were students of the Dance and Visual Communication Design Study Programs of Denpasar “X” Institute who met the study criteria accounted for 48 students in each group. The data collection was conducted using a Chestgraph HI-101 spirometry for lung function measurement and a self-efficacy scale by I Made Rustika for self-efficacy measurement. The data was analyzed with SPSS 26 using T-independent and Mann-Whitney tests for mean comparison. Results:  The two groups have similar distribution of age, sex, weight, height and smoking status. The respiratory function indicators were higher in dancer group compare to non-dancer group, the mean difference of 0.34 (p=0.02) for FVC(L), 10.14 (p<0.001) for FVC%, 0.3 (p=0.04) for FEV1(L), and 0.77 (p=0.02) for FEV 25%. No significant difference in self-efficacy was observed. Conclusion: The dancer students have higher lung function compare to non-dancer student. This signify dancing can become one form of physical activities that can be introduced to improve lung function since early age.
LATIHAN FISIK BELUM MAMPU MEMPERBAIKI GAMBARAN HISTOLOGIS PARU MENCIT (Mus Musculus) JANTAN GALUR BALB/C YANG DIPAPAR UAP ROKOK ELEKTRIK Wiatma, Deny Sutrisna; Muliarta, I Made; Karmaya, Nyoman Mangku
JURNAL KEDOKTERAN Vol. 7 No. 2 (2022): Juli 2022
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v7i2.516

Abstract

Saat ini rokok elektrik diduga kuat memiliki kandungan bahan yang berbahaya bagi kesehatan manusia. Salah satu upaya untuk untuk mempertahankan kesehatan paru akibat paparan uap rokok elektrik yaitu perlu dilakukan latihan fisik teratur intensitas sedang. Latihan fisik diharapkan mampu memberikan efek perbaikan histologis alveolus paru setelah paparan uap rokok elektrik. Penelitian ini merupakan penelitian eksperimental laboratorik post-test only group design. Sampel penelitian terdiri dari 27 ekor mencit (Mus Musculus) jantan Galur BALB/C yang berusia 2-3 bulan dengan berat badan 25-35 gram. Sampel dibagi menjadi 3 kelompok secara acak yaitu (K1) kontrol normal, (K2) kontrol negatif yang diberikan paparan uap rokok elektrik, dan (K3) kelompok perlakuan yang diberikan paparan uap rokok elektrik dengan perlakuan latihan fisik aerobik intensitas sedang. Hasil penelitian menunjukkan bahwa latihan fisik belum mampu memperbaiki gambaran histologis alveolus paru (p>0,05) yang diberikan paparan uap rokok eleketrik pada mencit jantan galur BALB/C. Kata Kunci: Latihan Fisik; Rokok Elektrik; Histologis Alveolus.
Topical Kombucha as a Natural Antioxidant Against Skin Photoaging: A Literature Review Soeyanto, Milka Ivenna; Muliarta, I Made
Eduvest - Journal of Universal Studies Vol. 5 No. 10 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i10.52068

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Skin photoaging refers to degenerative changes in the skin primarily triggered by chronic exposure to ultraviolet (UV) radiation, especially UV-B. This exposure leads to the formation of reactive oxygen species (ROS), stimulates inflammatory responses, and accelerates collagen breakdown through the activation of matrix metalloproteinases (MMPs). These processes affect the extracellular matrix and skin homeostasis, and contribute to visible signs such as wrinkles, skin dryness, and loss of elasticity. Natural antioxidants in topical formulations have gained attention for their protective effects. Kombucha, a fermented tea rich in polyphenols, organic acids, and flavonoids has shown potential in reducing MMP-1 expression, enhancing TGF-β signaling, and stimulating collagen production. When fermented with Hibiscus sabdariffa (rosella), its antioxidant activity is further enhanced. This review highlights the molecular mechanism of photoaging and highlights the therapeutic potential of Kombucha Roella as a natural topical agent. Despite promising results, further in vivo and clinical studies are needed to confirm its efficacy.
Nutrition and Exercise Interventions for Stem Cell Exhaustion in Aging Hendrata, Winona May; Muliarta, I Made
Research Horizon Vol. 5 No. 5 (2025): Research Horizon - October 2025
Publisher : LifeSciFi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54518/rh.5.5.2025.790

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Aging is characterized by progressive stem cell exhaustion, leading to impaired tissue regeneration and organ dysfunction. While stem cell transplantation has been extensively explored for aging interventions, preserving endogenous stem cell function through lifestyle strategies might offer a more sustainable approach. This review synthesizes current evidence on how nutritional interventions and physical exercise can mitigate stem cell decline by targeting shared aging pathways. The research method in this study uses narrative review with a systematic approach through literature search in PubMed, Scopus, and Springer Link databases, using combined keywords, MeSH terms, and snowballing techniques. Nutritional interventions, including caloric restriction and fasting-mimicking diets, enhance stem cell resilience through metabolic reprogramming involving AMPK, mTOR, and autophagy restoration. Plant-derived polyphenols such as fisetin and quercetin emerge as promising adjuncts, targeting senescence clearance and optimizing the stem cell niche. Exercise concurrently activates stem cells via mechanosensitive pathways and systemic factor release while also improving polyphenol bioavailability through enhanced tissue perfusion. Senolytic safety requires careful evaluation due to senescence’s tumor-suppressive role, while polyphenol bioavailability limitations may be addressed with nanocarriers and structural modifications. By integrating lifestyle and nutraceutical strategies, this multi-dimensional approach offers a roadmap for maintaining endogenous stem cell pools and extending healthspan.
Hyaluronic acid as an active agent to accelerate bone regeneration aftertooth extraction: a literature review I Putu Gede, Andyka Yasa; I Made Jawi; I Made Muliarta
Indonesian Journal of Pharmacology and Therapy Vol 1 No 2 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.1016

Abstract

Tooth extraction is a dental treatment that is performed frequently in dentistry. This procedure will stimulate a sophisticated healing process involving a variety of biological factors although it takes a long time to complete. Three phases occur in this process i.e. the inflammatory phase, the proliferation phase, and the remodeling phase which aim to restore the tissue function. Several interventions can be used to accelerate bone formation after tooth extraction. Recently, hyaluronic acid (HA) has been commonly used in dentistry due to their essential physiological effects for the periodontal connective tissue, gingiva, and alveolar bone. Hyaluronic acidis a natural non-sulfate glycosaminoglycans compound that has high molecular weight consisting of D-glucuronic acid and N-acetylglucosamine. Hyaluronic acidis also a component of the extracellular matrix that plays an important role in morphogenesis and tissue healing. The mechanism of action of HA works in two ways, that is passive and active mechanism. The passive mechanism is depend on physical and chemical properties of HA that can change the molecular weight and concentration properties. The active mechanism of HA works by stimulating signal transduction pathway initiated by ligand binding with its receptors through autocrine or paracrine processes. The administration of HA can accelerate bone formation due to it can enhance bone morphogenetic protein (BMP) which belongs to the TGF- β superfamily that has high osteogenic capacity. The HA works through a passive mechanism that depends on its molecular weight and an active mechanism by increasing BMP activity.
Differences Between Multicomponent Exercise and Concurrent Exercise on Reducing Frailty Risk in The Elderly in Karangasem Tri Juniari, Ni Komang; Luh Putu Ratna Sundari; Nur Basuki; I Made Muliarta; I Dewa Ayu Inten Dwi Primayanti; I Made Krisna Dinata
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1521

Abstract

The worldwide population of older adults is growing, which may yield a demographic bonus; yet, this growth simultaneously heightens frailty risk among the elderly. The dynamic and reversible nature of frailty provides opportunities and challenges in overcoming the aging process. Multicomponent exercise and concurrent exercise are two prominent forms of exercise in elderly exercise programs to reduce frailty risk. This research was to prove the difference in the effect of multicomponent exercise and concurrent exercise on reducing frailty risk in the elderly in Karangasem. Pre and post-test two group methods were used in this study’s true experimental design. Twenty-two participants were chosen by a simple random sample technique and subsequently divided into two groups: the multicomponent exercise group (n = 11) and the concurrent exercise group (n = 11). The exercises were given 3 times for 8 weeks. Frailty risk was assessed based on the Fried's Frailty Phenotype criteria. The Paired Sample T-test results indicated a significant difference in frailty risk reduction before and after exercise in both the multicomponent exercise group (p = 0.001; p < 0.05) and the concurrent exercise group (p = 0.001; p < 0.05). The Independent Samples T-test results indicated no significant difference in frailty risk reduction between the multicomponent exercise group and the concurrent exercise group (p = 0.318; p > 0.05). Based on the study’s findings, multicomponent exercise and concurrent exercise are equally good in reducing frailty risk in the elderly in Karangasem.
The Effect of Stevia (Stevia rebaudiana Bertoni) Leaf Extract Cream on Transforming Growth Factor-β1 Levels and Collagen Amount in the Skin of Male Wistar Rats (Rattus norvegicus) Exposed to Ultraviolet B Febrina, Jessica; Muliarta, I Made; Wahyuniari, Ida Ayu Ika; Sumadi, I Wayan Juli; Linawati, Ni Made; Artini, I Gusti Ayu
HAYATI Journal of Biosciences Vol. 33 No. 2 (2026): March 2026
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4308/hjb.33.2.435-444

Abstract

Ultraviolet B (UVB) exposure is a major cause of skin aging, leading to collagen degradation and wrinkles due to free radical damage. Stevia (Stevia rebaudiana Bertoni) has antioxidant properties that may counteract this by preserving Transforming Growth Factor-β1 (TGF-β1), essential for collagen synthesis. This study evaluated the effects of stevia leaf extract cream on TGF-β1 and collagen levels in male Wistar rats. Thirty rats were divided into five groups: K0 (no UVB, no cream), K1 (base cream), P1 (2.5% stevia cream), P2 (5% stevia cream), and P3 (10% stevia cream). Groups K1, P1, P2, and P3 were exposed to a cumulative UVB exposure of 840 mJ/cm2 over four weeks. The TGF-β1 levels measured by ELISA did not differ significantly among groups (p>0.05). However, collagen levels, assessed using Picro Sirius Red staining, varied significantly (p<0.05). The K1 exhibited significantly lower collagen compared to K0 (p=0.003), whereas the P2 group effectively prevented collagen degradation compared to K1 (K1: 65.87% vs. P2: 77.92%; p = 0.005). While stevia leaf extract cream did not prevent TGF-β1 reduction, it demonstrated a clear protective effect against UVB-induced collagen loss. Among the tested concentrations, 5% stevia leaf extract cream was the most effective in preserving dermal Collagen, highlighting its potential as a topical agent for preventing photoaging and maintaining skin structural integrity.
Pemulihan aktif lebih baik daripada pemulihan pasif untuk mengoptimalkan pemulihan tubuh pasca-latihan Andriana, Laily Mita; Ratna Sundari, Luh Putu; Muliarta, I Made; Ashadi, Kunjung; Nurdianto, Arif Rahman
Jurnal SPORTIF : Jurnal Penelitian Pembelajaran Vol 8 No 1 (2022): Jurnal SPORTIF: Jurnal Penelitian Pembelajaran
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2761.583 KB) | DOI: 10.29407/js_unpgri.v8i1.17685

Abstract

One of the efforts to prevent the overreaching condition is by doing a recovery phase after exercise. The quality and quantity of recovery influence the effectiveness of recovery. The effectiveness of recovery can be observed by heart rate and body temperature after recovery. This study aims to compare active recovery and passive recovery after moderate-intensity continuous training on heart rate and body temperature. The research method used is quasi-experimental and uses a two-group pre and post-test design. Based on the Pocock formula, the research subjects used were 40 women aged 24 years to 35 years. The data collected include heart rate and body temperature. The data analysis techniques used were normality test, treatment effect test (paired sample t-test), and difference test (independent samples t-test). The results showed that active recovery was better than passive recovery to optimizing post-exercise heart rate (p<0.05). Active recovery was better than passive recovery in optimizing body temperature (p<0.05). It was concluded that active recovery after moderate-intensity continuous training was better than passive recovery to optimize post-exercise recovery and prevent overreaching.
Co-Authors A.A.Istri Firasti Widyaratni A.A.Ngurah Wisnu Nayaka Putra AA Lanang Dananjaya Putra Dewa WA Agha Bhargah Agus Suarjaya Putra Alex Pangkahilla Ali Imron Anak Agung Ayu Ngurah Susraini Anak Agung Fridami Dewi Andreany Kusumowardani Andriana, Laily Mita Andy Sirada annie minerva datui Arfian Hamzah Ari Wibawa Ari Wibawa Asshiddiqie Chirac Sepakat Purba Ayunindya, Dewa Ayu Agung Megaretha Bagus Komang Satriyasa Bella Noviantika Bertha Melyana Boki Jaleha Catherina . D A inten Dahlan Abdullah Damayanti, Ni Kadek Ayu Maya Daryono . . Deny Sutrisna Wiatma Desak Made Wihandani Dewa Ayu Eka Wahyuni Dewa Gede Putra Angga Pradnyana Dewa Putu Gde Samatra Dewi, Anak Ayu Nyoman Trisna Narta Diahningrum, Sylvi Dio Septiyan Helmi Dionisius Wora Dw P. Sutjana Dwi Halim Kevin Gautama Dyno Aryo Christanto Enny Wulandari Febrina, Jessica Felicia Holil Gabriela Queensanya Lienardy Ganesa Puput Dinda Kurniawan Gde Ngurah Idraguna Pinatih Gusti Agung Gede Rama Wintara Gusti Made Agung Mega Utama Hairudin - Hendrata, Winona May Herman Saputra Herman Saputra I Dewa Ayu Agung Diah Sutarini I Dewa Ayu Inten Dwi Primayanti I Dewa Ayu Inten Dwi Primayanti I Dewa Putu Sutjana I Gede Bagus Bhaskara Wijaksana I Gede Bayu Utama Putra I Gede Donny Hendrawan I Gede Koko Gustrawan I Gede Widyatmika Pratama I Gusti Agung Ayu Narita Savitri I Gusti Ayu Artini I Gusti Ayu Putu Armayanthi I Gusti Ayu Sri Mahendra Dewi I Ketut Suada I Komang Suciptha Gago I Made Adi Widiantara I Made Ady Wirawan I Made Ari Samudera I Made Astika Yasa I Made Dhita Prianthara I Made Dwi Ariyuda I Made Gotra I Made Jawi I Made Krisna Dinata I Made Niko Winaya I Made Wahyu Palguna I Made Winarsa Ruma I Made Wirya Sastra I Made Wisnu Saputra I Nengah Sandi I Nyoman Adi Putra I Nyoman Mangku Karmaya I P G. Adiatmika I Putu Adiartha Griadhi I Putu Gde Surya Adhitya I Putu Gede Andyka Yasa I Putu Gede Windhu Saputra I Putu Prisa Jaya . I Putu Putra Suarsana I Putu Sutha Nurmawan I Wayan Bandem Adnyana I Wayan Juli Sumadi I Wayan Sugiritama I Wayan Surata I Wayan Weta I.A. Pascha Paramurthi Ida Ayu Dyah Yusa Dhammayanthi Ida Ayu Ika Wahyuniari Ida Ayu Intan Kartika Dewi Ida Ayu Made Pradnyanini Ida Bagus A. Swamardika Ida Bagus Adnyana Manuaba Ida Bagus Ngurah Ida Bagus Ngurah Ihsan, Muammar Ika Fitri Wulan Dhari Iman Santoso indah adiputra Indira Vidiari J Indra Lesmana Indrasuari, A.A Istri Diah Ivana Juliarty Sitanggang J. A. Pangkahila Jasmine Kartiko Pertiwi Jhon Roby Purba K Tirtayasa K Tirtayasa K tirtayasa K. Tirtayasa Kadek Kristina Harum Lasmi Katrin Rotua Simbolon Ketut Laksmi Puspa Dewi Ketut Tirtayasa Ketut Trisandy Khaerul Anam Komang Tri Adi Suparwati Kunjung Ashadi Kusumaningrum, Cornelia Ayu Liza Ariani Luh Ayu Widayanti Luh Made Indah S.H. Adiputra Luh Made Indah Sri H.A Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Putu Iin Indrayani Maker Luh Putu Ratna Sundari Luh Putu Ratna Sundari M Widnyana M. Ali Imron M.Ali Imron Made Adhi Dharma Setiawan Made Aditya Yogi Guntara Made Hendra Satria Nugraha Made Rania Deviyanti Made Sudarma Maghfirotul Iffah Makbullah - Maker, Luh Putu Iin Indrayani Manuela Serrano, Christina Zita Maria Imaculata Date Masrum Syam Meiza Anniza Meryl Pulcheria Moh. Ali Imron, Moh. Mohammad Syahroni Muh. Irfan Muh. Irfan Muhammad Ali Imron Muhammad Irfan Muhammad Irfan Muhammad Irfan Muthia Munawaroh Muthiah Munawaroh N. Adiputra N. Adiputra N. Adiputra Ni Eka Dewi Ambarawati Ni Kadek Ayu Maya Damayanti Ni Kadek Citra Patmala Ni Kadek Vindy Aprilyanti Ni Ketut Dewi Irwanti Ni Komang Ari Sepriyanti Ni Komang Dewi Semariasih Ni Luh Gede Puji Andini Ni Luh Made Reny Wahyu Sari Ni Luh Nopi Andayani Ni Luh Tu Pertiwi Ni Made Ida Kristina Dewi Ni Made Indah Pratiwi Ni Made Ista Prestiyanti Ni Made Linawati Ni Made Mahastuti Ni Made Rininta Adi Putri Ni Nengah Nita Sulistyawati Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Nyoman Suratmiti Ni Putu Dita Kristinayanti Ni Putu Dwi Larashati Ni Putu Haryska Wulan Ni Putu Purnamawati Ni Putu Ruspata Bhyantari Ni Putu Sriwidyani Ni Wayan Rusni Ni Wayan Sintyabudi Kumalapatni Ni Wayan Tianing Ni Wayan Winarti Nila Wahyuni Nur Basuki Nurdianto, Arif Rahman Nyoman Kabella Cinthya Devi Oktovianus Fufu Popi Imelda Margareth Sitompul Purnawati, Susy Purnawati Putu Astawa Putu Ayu Sita Saraswati Putu Dede Asta Wiguna R. A.T. Kuswardhani Rina Mayangsari S Indra Lesmana S. Indra Lesmana S. Indra Lesmana S. Indra Lesmana S. P. Dedy Darma Yasa Santi Bery Hastuti Santoso Santoso Sawitri, Anak Agung Sagung Soeyanto, Milka Ivenna Sri Mahendra Dewi, I Gusti Ayu Suadnyana, Ida Ayu Astiti Sugijanto - Sugijanto - Sugijanto - Sulfandi Sulfandi Susy Purnamawati Susy Purnawati Sutha Nurmawan Swarmadika, Ida Bagus Alit Syahmirza Indra Lesmana Tjokorda Gde Bagus Mahadewa Tri Juniari, Ni Komang Trisna Damayanti Tyas, Ni Luh Putu Larasati Prabawaning Utomo Wicaksono Volman Tampubolon Wahyuddin, Wahyuddin Wahyudin - Wahyuni Novianti, I Gusti Ayu Sri Yohanes Seran Yuliana Yuliana